The CRABEL score—setting standards in maxillofacial medical note-keeping

The CRABEL score (developed by Crawford, Beresford and Lafferty) was introduced for auditing medical note-keeping at Morriston Hospital in June 2001. Guidelines detailing the scoring system were issued to all clinicians in the maxillofacial unit. An auditor selected two sets of medical notes from ea...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2004-06, Vol.42 (3), p.200-202
Main Authors: Dhariwal, D.K, Gibbons, A.J
Format: Article
Language:English
Subjects:
Audit
Biological and medical sciences
Dentistry
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Maxillofacial surgery. Dental surgery. Orthodontics
Medical Audit - methods
Medical note-keeping
Medical Records - standards
Medical sciences
Quality Control
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery, Oral - standards
Wales
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Summary:The CRABEL score (developed by Crawford, Beresford and Lafferty) was introduced for auditing medical note-keeping at Morriston Hospital in June 2001. Guidelines detailing the scoring system were issued to all clinicians in the maxillofacial unit. An auditor selected two sets of medical notes from each consultant’s firm, giving an initial allocation of 100 points/firm (50 points for each set of notes). The notes of the most recent in-patient admission were analysed using the CRABEL marking sheet to give a score out of 100 for each firm. The audit was repeated at 3-month-intervals. CRABEL scores within the maxillofacial unit improved from 70 to 97. The CRABEL score is simple, reliable and repeatable. It is a successful and objective measure for audit and for improvement in the quality of note-keeping. We propose that it be adopted in maxillofacial units throughout the United Kingdom.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2004.01.013